Individual
SAMUEL HAL MCNUTT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
TAYLOR AT MARION STREETS, PALMETTO HEALTH BAPTIST, RICHLAND, SC 29201
(803) 296-2548
(803) 296-2548
Mailing address
293 GREYSTONE BLVD, FIRST FLOOR, COLUMBIA, SC 29210-8004
(803) 296-2548
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
150
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0522
—
SC
Enumeration date
03/21/2006
Last updated
12/12/2017
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